Trazodone (trade names Desyrel, Molipaxin, Trittico, Thombran, Trialodine) is a psychoactive compound with sedative, anxiolytic, and antidepressant properties. The various manufacturers claim that the antidepressant activity becomes active in the first week of therapy. Trazodone has less prominent anticholinergic (dry mouth, constipation, tachycardia) and adrenolytic (hypotension, male sexual problems) side effects than most tricyclic antidepressants.
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Trazodone is not a serotonin reuptake inhibitor; in contrast to
the selective serotonin reuptake inhibitors such as fluoxetine (trade
name Prozac), trazodone's antidepressant effects may be due to its
antagonistic effect at the presynaptic 5-HT2 autoreceptor site.
Clinical depression with or without anxiety
Chronic insomnia(in some countries, this is an off-label use)
Fibromyalgia, to control sleeping.
Control of nightmares or other disturbed sleep
A sleep aid (with a reduced risk of dependency)
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Because the frequency of adverse drug effects is affected by diverse factors (e.g., drug dose, method of detection, physician judgment, disease under treatment, etc.) a single meaningful estimate of adverse event incidence is difficult to obtain. This problem is illustrated by the variation in adverse event incidence observed and reported from the inpatients and outpatients treated with DESYREL. It is impossible to determine precisely what accounts for the differences observed.
Clinical Trial Reports
The table below is presented solely to indicate the relative frequency of adverse events reported in representative controlled clinical studies conducted to evaluate the safety and efficacy of DESYRELŪ (trazodone hydrochloride).
Death from overdose has occurred in patients ingesting DESYREL (trazodone hydrochloride) and other drugs concurrently (namely, alcohol; alcohol + chloral hydrate + diazepam; amobarbital; chlordiazepoxide; or meprobamate).
The most severe reactions reported to have occurred with overdose of DESYREL alone have been priapism, respiratory arrest, seizures, and EKG changes. The reactions reported most frequently have been drowsiness and vomiting. Overdosage may cause an increase in incidence or severity of any of the reported adverse reactions
Parents or guardians need to think about 4 important things when their child is prescribed an antidepressant:
There is a risk of suicidal thoughts or actions
How to try to prevent suicidal thoughts or actions in your child
You should watch for certain signs if your child is taking an antidepressant
There are benefits and risks when using antidepressants